JOHN WYATT RUBY

BOISE, ID
NPI1043804339
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ID  67614)
Enumeration Date2021-02-26
Last Update Date2021-03-13
Business Address
JOHN WYATT RUBY CNRA
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
Mailing Address
JOHN WYATT RUBY CNRA
2537 W STATE ST STE 200
BOISE, ID 83702-2200
Phone number: